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Neurotic Disorders Notes

This is a sample of our (approximately) 6 page long Neurotic Disorders notes, which we sell as part of the Psychiatry Notes collection, a MBChB (hons) (1st) package written at University Of Leicester in 2014 that contains (approximately) 43 pages of notes across 14 different documents.

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Neurotic Disorders Revision

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Neurotic Disorders Neurosis 'Disorders that have three things in common' 1) Not accompanied by organic brain disease 2) Not psychoses 3) Discrete onset (rather than a continuous development from early life)

Anxiety + Anxiety Disorders Anxiety 'An unpleasant emotional state or condition, which is characterized by subjective feelings of tension, apprehension and worry by activation of the autonomic nervous system' Perceived danger Limbic system Sympathetic nervous system activated Release of noradrenalin and adrenaline (from adrenals) Physiological effects Anxiety is a normal human response to many every-day situations Anxiety disorders = more intense, last longer and lead to problems that interfere with everyday life. They occur because people believe situations to be more dangerous than they actually are Three components of Anxiety
- Physical symptoms o Cardiovascular
 Tachycardia
 Chest pain
 Palpatations o Respiratory
 Tachpnoea o CNS
 Syncope
 Pre-syncope
 Headache
 Insomnia o Other
 Urinary frequency
 Diarrhoea
 Tremor Panic attacks
= Brief intense episodes of anxiety

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Cognitive component o Impaired concentration o Easily distracted o Memory troubles o Worry

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Behavioral component o Foot tapping o Pacing

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Can occur in any of the anxiety disorders Hyperventilation is common

Phobic Anxiety Disorders Phobia = anxiety in response to a specific situation Degree of anxiety is out of proportion to situation 3 Phases
- Anticipatory anxiety
- Physical and psychological symptoms of anxiety
- Avoidance or escape

Agoraphobia

Women>Men 'Anxiety about being in places or situations from which escape might be difficult or in which help might not be available in the event of having an unexpected or situationally predisposed panic attack or panic-like symptoms'
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Anxiety about leaving the home, entering shops, using public transport etc Gradual escalation of symptoms over time Must NOT be the result of delusions/hallucinations

Social Phobia

Men>Women Anxiety symptoms provoked by social situations in which the person feels 'on display' in some way e.g speaking to audience, eating in public
- Impacts on job and lifestyle
- Low self esteem
- Fear of criticism

Specific Phobias

Anxiety aroused by a particular objects
- Spiders, dogs, thunderstorms Commonest Phobia
- Least disabling provided the object can be avoided
- Person recognizes emotional distress is excessive/unreasonable

Panic Disorder

- Repeated panic attacks occurring over a short period of time
- Not predictable or in response to a particular stimulus
- No symptoms between attacks
- Several panic attacks within a month Need 4 of 14 symptoms

Palpatations Sweating Trembling Hot flushes Dyspnoea Choking sensation

- Frequent urination
- Tinnitus
- Fear of dread
- Parasthesia of fingers
- Nausea
- Pre-syncope
- Dry mouth

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